Resumen de Investigación
Analyzed using Evidence Intelligence™

SGLT2 inhibitors improve kidney and cardiovascular outcomes across albuminuria levels

Última actualización 6 de julio de 2026

Key finding

SGLT2i reduced albuminuria levels by 13%, on average: gMratio 0.87, 95% CI 0.85–0.88, p < 0.001.

This study evaluated the effects of SGLT2 inhibitors on cardiovascular and kidney outcomes across different levels of albuminuria. It found significant reductions in albuminuria and various adverse outcomes compared to placebo.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Long-Term (1–5 y)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study's main message and where it applies.

Study focus

This study evaluated the effects of SGLT2 inhibitors on cardiovascular and kidney outcomes across different levels of albuminuria. It found significant reductions in albuminuria and various adverse outcomes compared to placebo.

Clinical relevance

These findings highlight the potential of SGLT2 inhibitors in improving kidney and cardiovascular health, especially for patients with varying levels of albuminuria. By reducing key health risks, these medications may enhance the quality of life and longevity for individuals at risk of kidney disease and heart failure.

Keep in mind

The study's design may limit generalizability to broader populations. Effectiveness in specific subgroups was not clearly defined. Long-term effects beyond the study duration were not assessed.

Published in

Referencia de la Revista

Publication details and source links for this paper.

Jo&#227;o PF, Pedro M, Stefan DA, et al. Sodium glucose co-transporter 2 inhibitors and cardiovascular and kidney outcomes across albuminuria levels. Diabetes, Obesity & Metabolism. 2025;28(2):1105-1115. doi:10.1111/dom.70289

Efectos Principales

SGLT2 inhibitors reduced albuminuria levels by 13% (gMratio 0.87, p < 0.001).

SGLT2 inhibitors reduced the risk of kidney events across the full UACR spectrum.

SGLT2 inhibitors decreased the risk of heart failure hospitalizations across the full UACR spectrum.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to SGLT2 inhibitors and Albuminuria, All-cause mortality, Atherothrombotic events, and 3 more.

Primary intervention

SGLT2 inhibitors

Primary outcomes

  • Albuminuria
  • All-cause mortality
  • Atherothrombotic events

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

6
Evidence pairs
6
Relationships
5
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 72

5

Related topics

6

Evidence pairs

352

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 6 evidence relationships
  • Includes primary outcome data
  • Linked to 5 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Evidencia principal

Relación de evidencia

SGLT2 Inhibitors and Cardiovascular Outcomes

Evidencia relacionada

Relación de evidencia

SGLT2 Inhibitors and Kidney Function

Seguir evidencia

Relación de evidencia

SGLT2 Inhibitors and Urinary Tract Infections

Seguir evidencia

Core evidence

Study findings

The primary outcomes reported in this study.

Albuminuria

SGLT2 inhibitors → Albuminuria

SGLT2 inhibitors → Albuminuria

Evidence Intelligence™
ImpactScore™
100
Very Positive
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

All-cause mortality

SGLT2 inhibitors → All-cause mortality

SGLT2 inhibitors → All-cause mortality

Evidence Intelligence™
ImpactScore™
75
Positive
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ConsistencyScore™
35
mixed
Supporting studies: Based on 2 studies
Add to Evidence Tracker

Atherothrombotic events

SGLT2 inhibitors → Atherothrombotic events

SGLT2 inhibitors → Atherothrombotic events

Evidence Intelligence™
ImpactScore™
50
Neutral
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Cardiovascular mortality

SGLT2 inhibitors → Cardiovascular mortality

SGLT2 inhibitors → Cardiovascular mortality

Evidence Intelligence™
ImpactScore™
50
Neutral
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Heart failure hospitalizations

SGLT2 inhibitors → Heart failure hospitalizations

SGLT2 inhibitors → Heart failure hospitalizations

Evidence Intelligence™
ImpactScore™
75
Positive
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ConsistencyScore™
35
mixed
Supporting studies: Based on 2 studies
Add to Evidence Tracker

Renal and urinary disorders incidence

SGLT2 inhibitors → Renal and urinary disorders incidence

SGLT2 inhibitors → Renal and urinary disorders incidence

Evidence Intelligence™
ImpactScore™
50
Neutral
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

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Evidence Tracker

12 tracked topics

Saved Studies

48 studies

Research Notes

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evidence suggest

La Evidencia Sugiere

  • SGLT2 inhibitors reduced albuminuria by 13% on average.
  • They lowered the risk of kidney events and heart failure hospitalizations.
  • Cardiovascular and all-cause mortality risks were also reduced.
who this applies

A quién se aplica

  • Adults with diabetes and varying levels of albuminuria.
  • Patients at risk for cardiovascular and kidney diseases.
keep in mind

Tener en Cuenta

  • Results may not apply to populations outside the study demographics.
  • Further research is needed to confirm long-term benefits.
  • The study did not explore the effects of SGLT2 inhibitors in non-diabetic patients.
between the lines

Entre Líneas

  • The study's design may limit generalizability to broader populations.
  • Effectiveness in specific subgroups was not clearly defined.
  • Long-term effects beyond the study duration were not assessed.

Save this study

Keep this study in your Evidence Tracker so you can easily find it again whenever you need it.

Today's Activity

Your Evidence Workspace

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Saved this study

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12 tracked topics

Saved Studies

48 studies

Research Notes

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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on SGLT2 Inhibitors and Cardiovascular Outcomes, SGLT2 Inhibitors and Heart failure hospitalizations.

Relaciones de evidencia relacionadas

Explore in Evidence Archive

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does SGLT2 Inhibitors improve cardiovascular outcomes?

Strong Evidence

SGLT2 Inhibitors may improve Cardiovascular Outcomes.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    All-cause mortality

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | moderate positive | ConsistencyScore™ Mixed | 1 study

  2. 2

    Cardiovascular mortality

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on 5 supporting studies with generally consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
5 supporting studiesUpdated: Jul 2026

Does SGLT2 Inhibitors improve kidney function?

Strong Evidence

SGLT2 Inhibitors may improve Kidney Function.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Albuminuria

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on 6 supporting studies with consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
6 supporting studiesUpdated: Jul 2026

Does SGLT2 Inhibitors improve urinary tract infections?

Strong Evidence

SGLT2 Inhibitors may improve Urinary Tract Infections.

ConsistencyScore™: Results are mixed and should be interpreted cautiously.

Evidence caveat: The available evidence reports mixed findings.

Ranked evidence signals

  1. 1

    Renal and urinary disorders incidence

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is cautious because the available studies report mixed findings.

Limitations

  • Population details are unavailable.
3 supporting studiesUpdated: Jul 2026

Does SGLT2 inhibitors improve heart failure hospitalizations?

Moderate Evidence

SGLT2 inhibitors may improve Heart failure hospitalizations.

ConsistencyScore™: Results are mixed and should be interpreted cautiously.

Evidence caveat: The available evidence reports mixed findings.

Ranked evidence signals

  1. 1

    Heart failure hospitalizations

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | moderate positive | ConsistencyScore™ Mixed | 1 study

Why this answer: This answer is cautious because the available studies report mixed findings.

Limitations

  • Only one supporting study is available.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026
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